Workstream 4: Service redesign in primary care: realist reviews and mixed methods
Over 50 million people in England are cared for by the NHS, and about 90% have their first NHS contact with a GP. However, primary care services, specifically UK general practice, are currently under considerable pressure. The NHS England GP Forward View advocates investing in and developing new models of care, however, these innovations should be underpinned by a robust evidence base. This stream of work will answer key questions to support the redesign of primary care. By systematically identifying and synthesising existing evidence, our work will support improved services for patients, clinicians and policymakers.
Planned Reviews
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4.1 The impact of telephone triage on workload and quality in primary care: a realist review Anne-Marie Boylan, Geoffrey Wong, Nia Roberts, Stephanie Tierney, Kamal Mahtani, Ruth Abrams, Sophie Park, Helen Atherton, Carl Heneghan |
Lay summary | Protocol |
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4.2 The role of care navigators in primary care: a realist review Stephanie Tierney, Geoff Wong, Nia Roberts, Anne-Marie Boylan, Sophie Park, Ruth Abrams, Joanne Reeve, Veronika Williams, Kamal Ram Mahtani |
Lay summary | Protocol |
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4.3 Primary health care community hubs: what do they look like? What are they aiming to do? Are there any data to suggest they are effective in their aims? Lorna Duncan, Gene Feder, Chris Salisbury, Alyson Huntley, Sarah Purdy, Nia Roberts, Peter Bower, Michael Moore |
Lay summary | Protocol |
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4.4 Understanding the impact of delegated home visiting services accessed via general practice by community dwelling patients: a realist review protocol Ruth Abrams, Geoff Wong, Nia Roberts, Kamal Mahtani, Stephanie Tierney, Anne-Marie Boylan, Sophie Park |
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4.5 A systematic review of recent innovations to reduce workload in general practice. Kamal Mahtani, Stephanie Tierney, Amadea Turk, Geoffrey Wong, Sophie Park, Ruth Abrams, Carl Heneghan, Nia Roberts |
Lay summary | |
Additional reviews |
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4.6 Barriers and facilitators to the implementation of an expanded NHS primary care workforce stakeholder enquiry Veronika Williams, Geoff Wong, Sophie Park, Georgina Masters, Kamal R Mahtani (SPCR Funding Round 17) |
Lay summary | Protocol |
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4.7 Mental Health in Undergraduate students Nathan Jeffreys, Geoff Wong, Ruth Abrams, Sophie Park |
Lay summary | Protocol |
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4.8 Towards understanding GPs’ viewpoint on diagnosis postnatal depression in general practice: a realist evaluation Sriranjan, A., Abrams, R. Wong, G. and Park, S. |
Lay summary | |
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4.9 The potential contribution of paramedics in primary care: a systematic review Georgette Eaton, Geoff Wong, Veronika Williams, Nia Roberts, Kamal R. Mahtani |
Protocol |
ADDITIONAL FUNDING
Kamal R. Mahtani, Stephanie Tierney and Lucy Shaw - How can the gardens, libraries and museums of Oxford support NHS social prescribing? University of Oxford Knowledge Exchange Seed Fund - November 2018
Workstream leads
Sophie Park (UCL) Gene Feder (Bristol), Kamal Mahtani (Oxford)
Workstream leads
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Gene Feder
University of Bristol
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Kamal Mahtani
University of Oxford
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Sophie Park
UCL
